Incomplete POST Form Due to Missing Signature
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to maintain a complete medical record for one resident by not obtaining a required signature on the Physician Orders for Scope of Treatment (POST) form. Although verbal consent was provided by the resident's legal representative on 04/16/2025, there was no signed consent documented in the medical record. Additionally, there was no evidence that the facility attempted to follow up with the legal representative to secure the necessary written signature, as required by accepted professional standards.